ADVANCED PAIN MEDICAL GROUP, INC (NPI# 1326589201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326589201 |
Entity Type | Organization |
Organization Name | ADVANCED PAIN MEDICAL GROUP, INC |
Practice Address |
2876 Sycamore Dr Suite 203 Simi Valley CA 93065-1530 |
Mailing Address |
7230 Medical Center Dr Suite 500 West Hills CA 91307-1907 |
Practice Telephone | 8183487246 |
Practice Fax Number | 8183487248 |
Mailing Telephone | 8183487246 |
Mailing Fax Number | 8183487248 |
Enumeration Date | 2017-03-13 |
Last Update Date | 2017-03-13 |
Authorized Official Name | DR. VIMAL SATYJIT LALA (PRESIDENT / OWNER) |
Authorized Official Telephone | 8183487246 |
Authorized Official Credential | D.O., M.P.H |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275168676 | Advanced Pain Medical Group, Inc | Pain Medicine | 100 Oceangate Ste P280, Long Beach, CA 90802-4390 | 2020-03-05 |
1356818736 | Advanced Pain Medical Group, Inc | Anesthesiology | 23206 Lyons Ave Ste 110, Santa Clarita, CA 91321-2671 | 2018-10-24 |
1275009656 | Advanced Pain Medical Group, Inc | Anesthesiology | 16055 Ventura Blvd Ste 444, Encino, CA 91436-2601 | 2018-10-23 |
1689115560 | Advanced Pain Medical Group, Inc | Anesthesiology | 625 N A St, Suite 300, Oxnard, CA 93030-4919 | 2017-03-13 |
1306380985 | Advanced Pain Medical Group, Inc | Non-Pharmacy Dispensing Site | 2876 Sycamore Dr, Suite 203, Simi Valley, CA 93065-1530 | 2016-12-15 |
1740724822 | Advanced Pain Medical Group, Inc | Non-Pharmacy Dispensing Site | 625 N A St, Suite 300, Oxnard, CA 93030-4919 | 2016-12-08 |
1770027856 | Advanced Pain Medical Group, Inc | Non-Pharmacy Dispensing Site | 55 Rolling Oaks Dr, Suite 100, Thousand Oaks, CA 91361-1010 | 2016-12-08 |
1740724830 | Advanced Pain Medical Group, Inc | Non-Pharmacy Dispensing Site | 3008 Sillect Ave, Suite 100, Bakersfield, CA 93308-6340 | 2016-12-08 |
1477097558 | Advanced Pain Medical Group, Inc | Non-Pharmacy Dispensing Site | 201 S Buena Vista St, Suite 300, Burbank, CA 91505-4569 | 2016-12-08 |
1598016784 | Advanced Pain Medical Group, Inc | Non-Pharmacy Dispensing Site | 7230 Medical Center Dr, Suite 500, West Hills, CA 91307-1907 | 2012-09-27 |
Street Address |
2876 SYCAMORE DR SUITE 203 |
City | SIMI VALLEY |
State | CA |
Zip Code | 93065-1530 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477549970 | Michael Richard Drucker | Specialist | 2876 Sycamore Dr, Suite 304, Simi Valley, CA 93065-1550 | 2005-09-21 |
1245776244 | Jennifer Lauren Lane | Physician Assistant | 2876 Sycamore Dr, Simi Valley, CA 93065-1530 | 2017-01-13 |
1306380985 | Advanced Pain Medical Group, Inc | Non-Pharmacy Dispensing Site | 2876 Sycamore Dr, Suite 203, Simi Valley, CA 93065-1530 | 2016-12-15 |
1144475864 | Tim Mcnicoll Md Inc | Family Medicine | 2876 Sycamore Dr, Suite 101, Simi Valley, CA 93065-1530 | 2008-11-21 |
1790930402 | George Dichter Md Inc | Internal Medicine | 2876 Sycamore Dr, Suite 101, Simi Valley, CA 93065-1530 | 2008-11-21 |
1568628824 | Bryan L Davidson | Family Medicine | 2876 Sycamore Dr, 101, Simi Valley, CA 93065-1530 | 2008-08-05 |
1326218272 | Jonathan Kurohara Md Inc | Family Medicine | 2876 Sycamore Dr, #101, Simi Valley, CA 93065-1530 | 2008-03-06 |
1376723601 | Rajee Ananda, M.d., Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 2876 Sycamore Dr, Suite 305, Simi Valley, CA 93065-1530 | 2007-11-03 |
1356520266 | Serena M. Friedman M.d., A Medical Corporation | Internal Medicine | 2876 Sycamore Dr, Suite 304, Simi Valley, CA 93065-1530 | 2007-10-26 |
1831393347 | Jeffrey Lewis Millman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2876 Sycamore Dr, Suite 304, Simi Valley, CA 93065-1550 | 2007-06-11 |
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1992312243 | Healing Hands Health Care Corp | Hospice Care, Community Based | 585 E. Los Angeles Ave, Suite H-b, Simi Valley, CA 93065 | 2020-09-29 |
1487261731 | Healing Love Health Care Services, Inc. | Hospice Care, Community Based | 585 E. Los Angeles Ave., Suite H - A, Simi Valley, CA 93065 | 2020-09-29 |
1528682499 | Nicole G. Nalbandian | Dentist | First Street Dental Group and Orthodontics, 1197 E Los Angeles Ave Ste E, Simi Valley, CA 93065 | 2020-06-05 |
1316597230 | K-clear Nursing Inc | Family Medicine | 1822 Springgate Ln Unit G., Simi Valley, CA 93065 | 2019-09-12 |
1780242313 | Valencia Medical Inc | Family Medicine | 1526 Patricia Ave, Unit 159, Simi Valley, CA 93065 | 2019-05-29 |
1962920553 | Taylor Pediatrics | Pediatrics | 2755 Alamo Street Ste: 201, Simi Valley, CA 93065 | 2017-09-02 |
1487181301 | Renee Brooks | Marriage & Family Therapist | Ventura County Behavioral Health, 1227 E. Los Angeles Ave., Simi Valley, CA 93065 | 2017-05-23 |
1225577208 | Amanda Blake | Dietitian, Registered | 2592 Victoria St, Simi Valley, CA 93065 | 2017-02-23 |
1245778364 | Tyler James Arauza | Behavior Technician | 2856 Thicket Pl., Simi Valley, CA 93065 | 2017-02-09 |
1992169007 | Sahar Yaftaly | Dentist | 2045 Royal Ave Ste 109, Simi Valley, CA 93065 | 2016-04-06 |
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Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538795836 | John Qian M.d. Inc. | Pain Medicine | 5360 Jackson Dr Ste 100, La Mesa, CA 91942-3012 | 2020-03-18 |
1831751403 | Abigail Howe | Pain Medicine | 2421 Park Blvd # B205, Palo Alto, CA 94306-1998 | 2019-07-03 |
1144781519 | Central Coast Functional Restoration Program Inc | Pain Medicine | 1260 41st Ave Ste D, Capitola, CA 95010-3929 | 2019-03-28 |
1497226419 | Birladeanu Medical Corp | Pain Medicine | 5255 Elkhorn Blvd Ste A, Sacramento, CA 95842-2506 | 2018-12-17 |
1033649413 | Latora Subani | Pain Medicine | 16179 Siskiyou Rd, Apple Valley, CA 92307-1314 | 2017-06-18 |
1982061354 | Hilary J Fausett, M.d. A Medical Corporation | Pain Medicine | 39 Congress St Ste 303, Pasadena, CA 91105-3022 | 2016-01-15 |
1346616695 | Nuvation Pain Group | Pain Medicine | 5832 Beach Blvd Unit 208, Buena Park, CA 90621-5501 | 2015-08-20 |
1740674050 | Guardian Headache and Pain Management Institute LLC | Pain Medicine | 3747 Franklin Ave, Suite 200, Long Beach, CA 90808-1334 | 2015-03-25 |
1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
1659772606 | Sonny Rubin, M.d. Inc | Pain Medicine | 455 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-4241 | 2014-09-09 |
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City | SIMI VALLEY |
Zip Code | 93065 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.